0001118417-21-000158.txt : 20211117
0001118417-21-000158.hdr.sgml : 20211117
20211117203931
ACCESSION NUMBER: 0001118417-21-000158
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20211115
FILED AS OF DATE: 20211117
DATE AS OF CHANGE: 20211117
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Lyon Christopher
CENTRAL INDEX KEY: 0001773390
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-35840
FILM NUMBER: 211422315
MAIL ADDRESS:
STREET 1: C/O MODEL N, INC.
STREET 2: 777 MARINERS ISLAND BLVD, SUITE 300
CITY: SAN MATEO
STATE: CA
ZIP: 94404
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: MODEL N, INC.
CENTRAL INDEX KEY: 0001118417
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMPUTER PROGRAMMING, DATA PROCESSING, ETC. [7370]
IRS NUMBER: 770528806
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0930
BUSINESS ADDRESS:
STREET 1: 777 MARINERS ISLAND BOULEVARD
STREET 2: SUITE 300
CITY: SAN MATEO
STATE: CA
ZIP: 94404
BUSINESS PHONE: (650) 610-4600
MAIL ADDRESS:
STREET 1: 777 MARINERS ISLAND BOULEVARD
STREET 2: SUITE 300
CITY: SAN MATEO
STATE: CA
ZIP: 94404
FORMER COMPANY:
FORMER CONFORMED NAME: MODEL T1 INC
DATE OF NAME CHANGE: 20001031
FORMER COMPANY:
FORMER CONFORMED NAME: MODEL N INC
DATE OF NAME CHANGE: 20000707
4
1
wf-form4_163719954071359.xml
FORM 4
X0306
4
2021-11-15
0
0001118417
MODEL N, INC.
MODN
0001773390
Lyon Christopher
C/O MODEL N, INC.
777 MARINERS ISLAND BLVD, SUITE 300
SAN MATEO
CA
94404
0
1
0
0
Chief Revenue Officer
Common Stock
2021-11-15
4
A
0
31666
0
A
119237
D
Common Stock
2021-11-15
4
A
0
20777
0
A
140014
D
Common Stock
2021-11-15
4
A
0
12222
0
A
152236
D
Common Stock
2021-11-15
4
A
0
3874
0
A
156110
D
Common Stock
2021-11-16
4
S
0
1051
32.37
D
155059
D
Common Stock
2021-11-16
4
S
0
839
32.37
D
154220
D
Common Stock
2021-11-16
4
S
0
739
32.37
D
153481
D
Common Stock
2021-11-16
4
S
0
275
32.37
D
153206
D
Common Stock
2021-11-16
4
S
0
553
32.37
D
152653
D
Issuable upon the vesting of Restricted Stock Units ("RSUs"). 6.25% of the RSUs will vest on each quarterly anniversary of the vesting commencement date until such time as the RSUs are 100% vested, subject to the continuing employment of the Reporting Person on each vesting date. Shares of the Issuer's common stock will be delivered to the Reporting Person upon vesting.
Issuable upon vesting and satisfaction of certain performance criteria of Performance-Based Restricted Stock Units ("PB-RSUs"). Subject to the achievement of certain minimum performance criteria based upon total stockholder return, between a minimum of 0% and a maximum of 200%, the PB-RSUs will vest as to 50% on each of the second and third annual anniversary of the vesting commencement date until such time as the PB-RSUs are 100% vested, subject to the continuing employment of the Reporting Person on each vesting date. Shares of the Issuer's common stock will be delivered to the Reporting Person upon vesting if the performance criteria have been met.
Issuable upon the vesting of Restricted Stock Units ("RSUs"). 50% of the RSUs will vest on each of the second and third annual anniversary of the vesting commencement date until such time as the RSUs are 100% vested, subject to the continuing employment of the Reporting Person on each vesting date. Shares of the Issuer's common stock will be delivered to the Reporting Person upon vesting.
Issuable upon the vesting of Restricted Stock Units ("RSUs"). 100% of the RSUs vested on November 15, 2021. Shares of the Issuer's common stock were delivered to the Reporting Person upon vesting.
All shares reported as disposed of in this transaction were sold by the Reporting Person in order to pay the federal and state tax withholding obligations resulting from the vesting of the Reporting Person's Restricted Stock Units ("RSUs") and/or performance-based RSUs. The Reporting Person did not sell or otherwise dispose of any of the shares reported in this transaction for any reason other than to cover required taxes.
Reflects a decrease of 313 shares of unvested Performance-Based RSUs ("PB-RSUs") that were cancelled due to the achievement of 64.9% of certain performance criteria related to PB-RSUs granted to the Reporting Person on November 22, 2019.
/s/ Christopher Lyon by Errol Hunter, Attorney-In-Fact
2021-11-17